Knowledge Check: Gastrointestinal and Hepatobiliary DisordersIn this exercise, you will complete a 5-essay type question Knowledge Check to gauge your understanding of this module?s content. Possible topics covered in this Knowledge Check include: UlcersHepatitis markersAfter HP shotsGastroesophageal Reflux DiseasePancreatitisLiver failure?acute and chronicGall bladder diseaseInflammatory bowel diseaseDiverticulitisJaundiceBilirubinGastrointestinal bleed ? upper and lowerHepatic encephalopathyIntra-abdominal infections (e.g., appendicitis)Renal blood flowGlomerular filtration rateKidney stonesInfections ? urinary tract infections, pyelonephritisAcute kidney injuryRenal failure ? acute and chronic Photo Credit: Getty Images Complete the Knowledge CheckTo complete this Knowledge Check: Module 3 Knowledge Check QUESTION 1Scenario 1: Peptic UlcerA 65-year-old female comes to the clinic with a complaint of abdominal pain in the epigastric area. The pain has been persistent for two weeks. The pain described as burning, non-radiating and worse after meals. Denies N&V, weight loss or obvious bleeding. She admits to frequent belching with bloating. PMH: seasonal allergies with Chronic Sinusitis, positive for osteoarthritis, Meds: Claritin 10 mg po daily, ibuprofen 400-600 mg po prn painFamily Hx-non contributarySocial history: Separated recently pending divorce; stressful situation with trying to manage two homes. Works as a Legal Assistant at a local law firm. She has 35 PPY of smoking, drinks 1-2 glasses of wine a day, and 6-7 cups of coffee per day. She denies illicit drug use, vaping or unprotected sexual encounters. Breath test in the office revealed urease. The healthcare provider suspects the client has peptic ulcer disease.Questions:1. Explain what contributed to the development from this patient?s history of PUD? QUESTION 2Scenario 1: Peptic UlcerA 65-year-old female comes to the clinic with a complaint of abdominal pain in the epigastric area. The pain has been persistent for two weeks. The pain described as burning, non-radiating and worse after meals. Denies N&V, weight loss or obvious bleeding. She admits to frequent belching with bloating.PMH: seasonal allergies with Chronic Sinusitis, positive for osteoarthritis,Meds: Claritin 10 mg po daily, ibuprofen 400-600 mg po prn painFamily Hx-non contributarySocial history: Separated recently pending divorce; stressful situation with trying to manage two homes. Works as a Legal Assistant at a local law firm. She has 35 PPY of smoking, drinks 1-2 glasses of wine a day, and 6-7 cups of coffee per day. She denies illicit drug use, vaping or unprotected sexual encounters.Breath test in the office revealed urease.The healthcare provider suspects the client has peptic ulcer disease.Question:1. What is the pathophysiology of PUD/ formation of peptic ulcers? QUESTION 3Scenario 2: Gastroesophageal Reflux Disease (GERD)A 44-year-old morbidly obese female comes to the clinic complaining of ?burning in my chest and a funny taste in my mouth?. The symptoms have been present for years but patient states she had been treating the symptoms with antacid tablets which helped until the last 4 or 5 weeks. She never saw a healthcare provider for that. She says the symptoms get worse at night when she is lying down and has had to sleep with 2 pillows. She says she has started coughing at night which has been interfering with her sleep. She denies palpitations, shortness of breath, or nausea.PMH-HTN, venous stasis ulcers, irritable bowel syndrome, osteoarthritis of knees, morbid obesity (BMI 48 kg/m2)FH:non contributaryMedications: Lisinopril 10 mg po qd, Bentyl 10 mg po, ibuprofen 800 mg po q 6 hr prnSH: 20 PPY of smoking, ETOH rarely, denies vapingDiagnoses: Gastroesophageal reflux disease (GERD).Question:1. If the client asks what causes GERD how would you explain this as a provider? QUESTION 4Scenario 3: Upper GI BleedA 64-year-old male presents the clinic with complaints of passing dark, tarry, stools. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some mid epigastric pain for several weeks and has been taking OTC antacids. The most likely diagnosis is upper GI bleed which won?t be confirmed until further endoscopic procedures are performed.Question:1. What are the variables here that contribute to an upper GI bleed? QUESTION 5Scenario 4: DiverticulitisA 54-year-old schoolteacher is seeing your today for complaints of passing bright red blood when she had a bowel movement this morning. She stated the first episode occurred last week. The episode today was accompanied by nausea, sweating, and weakness. She states she has had some LLQ pain for several weeks but described it as ?coming and going?. She says she has had a fever and abdominal cramps that have worsened this morning.Diagnosis is lower GI bleed secondary to diverticulitis.Question:1. What can cause diverticulitis in the lower GI tract? Plagiarism Free PapersAre you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we’ll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.Why Hire writers to do your paper?Quality- We are experienced and have access to ample research materials.We write plagiarism Free ContentConfidential- We never share or sell your personal information to third parties.Support-Chat with us today! We are always waiting to answer all your questions.
